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HomeMy WebLinkAboutNCG100027_MONITORING INFO_20181015 (2)STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. Iv Gc , c)(DO D 9 DOC TYPE ❑ HISTORICAL FILE X MONITORING REPORTS DOC DATE ❑ of o 10 I YYYYM M DD a Mid Atlantic Engineering & Environmental Solutions October 1, 2018 RECEIVED OCT 15 2018 NCDEQ/DWR CENTRAL FILES Attention: Central Files DWR SECTION 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS PRICE'S AUTO PARTS 1900 OLD CREWS ROAD KNIGHTDALE, NORTH CAROLINA NPDES PERMIT NO. NCG100027 To Whom It May Concern: 409 Rogers View Court Raleigh. NC 27610 office 919.250.9918 facsimile 919.250.99S0 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on September 11, 2018 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachment: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100027 FACILITY NAME Price's Auto Parts LLC PERSON COLLECTING SAMPLE(S) Jesse Price III CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 COUNTY Wake PHONE NO. 219) 266-0171 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/50Z 15 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall 001 09/11/2018 0.86 < 5.0 <5.0 <5.0 <0.005 NA Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy)instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the 5tormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge a nd belief, true, accurate, and complete. am aware that there are significant penatt r submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee or Designee) (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 0 aceAnalytical ' www.pac�kbxam Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 September 26, 2018 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on September 13, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Tyriek Hooks tyriek.hooks@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 Pace Analytical Services, LLC aceAnalytrCa! a 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Ohio VAP Certification #: CL-0065 Illinois Certification M 200074 Oklahoma Certification #: 2017-124 Indiana Certification #: C-49-06 Texas Certification #: T104704355-18-12 KansasINELAP Certification ME-10177 West Virginia Certification M 330 Kentucky UST Certification #: 80226 Wisconsin Certification #: 999788130 Kentucky WW Certification #:98019 USDA Soil Permit #: P330-16-00257 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 South Carolina Certification #: 99006001 LouisianalNELAP Certification # LA170028 FloridalNELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Cerfification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification M M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification M 40 South Carolina Certification #: 99030001 VirginialVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnalytical www.pscelahs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 Lab ID Sample ID 92399354001 OUTFALL No. 1 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory EPA 1664B JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-I EPA 601OD SH1 1 PASI-A SM 254OD-2011 CRV 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 aceAnalytical wwwpacelabs.=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)B75.9092 ANALYTICAL RESULTS Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 Sample: OUTFALL No. 1 Parameters Lab ID: 92399354001 Collected: 09/11/18 08:00 Received: Results Units Report Limit DF Prepared 09/13/18 09:54 Matrix: Water Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 4.8 1 09/26/18 04:34 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mg/L 5.0 1 09/16/18 18:07 107-21-1 6010 MET ICP Analytical Method: EPA 601 OD Preparation Method: EPA 3010A Lead ND ug/L 5.0 1 09/14/18 01:57 09/15/18 08:41 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 254OD-2011 Total Suspended Solids ND mg1L 5.0 1 09/14/18 20:18 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalytical www.pacelabs.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 QC Batch: 432693 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92399354001 METHOD BLANK: 2384786 Associated Lab Samples: 92399354001 Parameter Units Total Petroleum Hydrocarbons mg1L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 4.8 09/26/18 04:28 LABORATORY CONTROL SAMPLE: 2384787 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mglL 19.2 19.7 103 64-132 MATRIX SPIKE SAMPLE: 2384788 92400305001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg1L ND 20 19.2 95 64-132 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical" www.pacelahxt�rn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 QC Batch: 461751 QC Batch Method: EPA 8015 Alcohol -Glycol Associated Lab Samples: 92399354001 METHOD BLANK: 2131529 Associated Lab Samples: 92399354001 Parameter Units Ethylene glycol mg1L QUALITY CONTROL DATA Analysis Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 09116/1817:02 LABORATORY CONTROL SAMPLE: 2131530 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg/L 25 24.0 96 55-144 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2131531 2131532 MS MSD 50205548001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mg1L ND 25 25 22.7 28.3 83 106 38-154 22 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 acmnalytir'cal www.pacelabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 QC Batch: 430715 Analysis Method: EPA 601 OD QC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92399354001 METHOD BLANK: 2376312 Associated Lab Samples: 92399354001 Parameter Units Lead ug/L LABORATORY CONTROL SAMPLE: 2376313 Parameter Units Lead ug/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 09/15/18 07:58 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 500 472 94 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2376314 2376315 MS MSD 92399416002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L ND 500 500 476 465 95 93 75-125 2 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13 a ce Analytical rtryrtrpeoefabs.t:avn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 QC Batch: 430852 QC Batch Method: SM 2540D-2011 Associated Lab Samples: 92399354001 METHOD BLANK: 2376877 Associated Lab Samples: 92399354001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE: 2376878 Parameter Units Total Suspended Solids mg/L SAMPLE DUPLICATE: 2376879 Parameter Units Total Suspended Solids mg/L QUALITY CONTROL DATA Analysis Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 09/14/18 20:18 Spike LCS Conc. Result 250 242 92399354001 Dup Result Result ND ND SAMPLE DUPLICATE: 2376880 92399324004 Dup Parameter Units Result Result Total Suspended Solids mg1L ND ND LCS % Rec % Rec Limits Qualifiers 97 90-110 RPD Qualifiers RPD Qualifiers Results presented on this page are In the units indicated by the "Units' column except where an atternato unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical www.patalabAcom Pace Anatytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersvilte, NC 28078 (704)875-9092 QUALIFIERS Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyle is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC, Page 9 of 13 aceAnalXkal ..paoelabs oam Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: PRICE'S AUTO PARTS Pace Project No.: 92399354 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92399354001 OUTFALL No.1 EPA 1664B 432693 92399354001 OUTFALL No. 1 EPA 8015 Alcohol -Glycol 461751 92399354001 OUTFALL No.1 EPA 3010A 430715 EPA 601OD 430740 92399354001 OUTFALL No. 1 SM 2540D-2011 430852 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/26/2018 01:31 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 13 Document Name: Document Revised: February 7, 2018 ceArialytrcal� Sample Condition Upon Recei t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.05 Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersville Raleigh[] Mechanicsville[] Client Name: ProjectWON'T : 92399354 ffi�.. - flit ,r'1 it- . s C i Ct S '1 C I Courier:ed Ex ❑UPS ❑UShS❑Client Commercial[]Pace ❑❑Pace ❑Ot er. 93399354 1 {ustady Seal Present? ❑Ves QtVa Seals Intact? Des aMo Date/initials Person Examining Contents: s Packing Material: []Bubble Wrap Bubble Bags ❑None ❑ Other Thermomete g2T045 Type of ice: /et ❑Blue iR Gun ID: Cooler Temp ('Cl: Correction Factor: Add/Subtract ('C)' Cooler temp Corrected (T). USDA Regulated Soil ( N/A, water sample) Did samples ariglpte In a quarantine zone within the United States: CA, NY, or SC (check maps)? P MYes No Biological Tissue F o ❑None zen? [Dyes ❑No Ji/A Temp should be above freezing to 6'C ❑Samples out of temp criteria. Samples on ice, cooling process has begun Did samples originate from a foreign source iinte_rna�tl °ally, includins Hawaii and Puerto Rlcol? nVIN Yes O Comments/Dlscre anC : Chain of Custody Present? 2 Yes QNo N/A 1. Samples Arrived within Hold Time? fires (:)No N/A 2. Short Hold Time Analysis J<72 hr.? Yes o ❑N/A 3. Rush Turn Around Time Requested? 0Y. Ida ❑N/A 4. Sufficient Volume? Yes QNo ❑N/A S. Correct Containers Used? E31es ❑No ❑N/A 6. -Pace Containers Used? .- [IN. ❑N/A Containers Intact? es DNo UNIA 7. Dissolved analysis: Samples Field Filtered? ❑Yes QNo A 8. Sample Labels Match COC? 41 Yes ❑No []N/A 9. r ' IncludesDate/Time/ID/Analysis _ Matrix: Heads ace in VOA Vials f>5-6mm)? ❑Yes No N/A 10, Trlp Blank Present? ❑Yes [:]No Q<A 11. Trip Blank Custody Seals Present? ❑Yes Eliqo 201A COMMENTS/SAMPLE 03SCREPANCY CLIENT NOTIFICAVON/RESOLUTION Person Contacted: Date/Time: Project Manager SCURF Review: Project Manager SRF Review: Lot ID of split Containers: Date: Date: ( j Field Data Required? ❑Yes ❑Na Page 11 of 13 Document Name: Document Revised: February 7, 2018 ace Analytical` Sample Condition Upon Recel t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F•CAR•CS•033-Rev,O6 Pace Carolinas Quali Office *Check mark top half of box if pH and/or dechlorination is verified and within the acceptance range for preservation samples. Exceptions VOA, Coliform, TOC, Oil and Grease, DRO18015 (water) DOC, LLH8 "Bottom half of box Is to list number of bottle Project # -Wp# : 92399354 PM: TIH Due Date: 09/27/18 CLIENT: 92-11I0 ATLRN E 2 Z 01 u re E ti 3 d Z W A E M a Z °� u y E 0 a a m 7 , rl a a V x W J E N7 d _ a u = J E N z a a % M.N J E Ln ,Ny N d a Z A J E In w u it v n o V 'E Z 3 4 °' wf i9 v Z v i 2 1 y E {/� M l7 n = A ; -. t7 x n E E l7 2 vx Z o a� U a > E Y a d z a E L7 > C a 0 E a°q� t7 a m 4 � E l7 ? y •`+ a A y 9 a a Z a N E N a d a J E O N J J E x 10 a E J S Q3 l7 S o N Z _ro 7 E Q 1 # 2 3 4 5 1 6 - N -\ 11 \\\N N \N t3 -\ 10 11 12 N\N-L pH Adjustment Log for Preserved Samples Sample It] Type of Preservative pH upon receipt Date preservation adjusted Time preservation adjusted Amount of Preservative added Lot H Note: whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the Nonh Carolina DEHNR Certiftcatlon Office ji.e. Out of hold, incorrect preservative, out of temp, incorrect containers. Page 12 of 13 ,aceAnalytical " :...:. rv•_r acts tt,a i CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain-of-CuSiody is a LEGAL DOCUMENT. All relevant fields must Ix completed accurately. Section A Section B Section C Page: of Requlmd Client ldform�Wn: Requtred Project Information: Invoice Inlomlat*n, - Comparly; Mid -Atlantic Associates, Inc. Report To' Chuck Hoffman (choffman@maaonline.com) Atlenbon: Chuck Hoffman Address: 409 Rogers View Court Copy To'. Ron Davis (rdavis@maaonline.com Company Name: Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh, NC 27610 Address: 409 Rogers View Court, Raleigh, INC r NPDES i I GROUND WATER f— DRINKING WATER UST r i RCRA r OTHER EmailTo: choffman@maaonline.com Purchase Order No.: R2900.00 Pne o'-we — Rere--: Phone; 919-250-9916 Fax: 919-250.9950 Project Name: Price's Auto Parts Pme PmxQ Tyriek Hooks Site Location I NWnager. STATE: NC Requested Due DatrITAT: Standard Project Number. R290o.0D Pow PmEle T 5921 Requested Analysis Filtered (YIN) Section D Vaud Matrix Codes a a' r _ r Requlnd Client Iniormatlon �Arstlx 9= e M COLLECTED Preservatives '}. N Y INY DRlwvu —TER vlu WT WATER Wyy 0 n z 0 d) WASTE WASEA P >z U COMPOSITE START COMPOSITE PRODUCT St ENdcRAs y o54it+5oEm wet;7 p. rn ,,,� END 7 SAMPLE 1D WPE AR m (Da S A R Oi (A-7, D-9 /:) OTMER TS Sample IOs MUST BE UNIQUE ?IssuE W D Ui M yy ! Q ? Z � C7 iD tLj {{{ Ut h di X w w 0 N InO c I. I- dI w 0. a A a 0 �NZ QtAaLr�} v Qr� �QQ2 PATE TIME DATE + TIME w as � S 2 U M Z Z O u j Pace Project Nol Lab I.D. Outfalt No. 1 W G 7 a 1 2 - x x x x Rainfall (inches): l :Oa t 100 H: r bd0 & tit �1 : :�Q 4h f� (� tt ;oo q 11 6 7 8 9 10 11 I 12 --'ADDITIONALCOMMENTS' ,- - ^ —RELINQUISNEDBY1AFFILIATION •• DATE - -TIME-- _ ` ACCEPTEDBY1AFFILIATION' - ' DATE' - TIME SAMPLE CONDITIONS l I I t SAMPLER NAME AND SIGNATURE rj m E m c v? n z PRINT Name of SAMPLER: CD' ti U y N SIGNATURE of SAMPLER: d Q M[T .9n u •Impenanf Net': ST'lr.Me this I.. you are actcplme Pace% NET 70day payment tr and ael'mnt !elate sharers or TS% MI month for any'm ie net paid.ilMn 10 dayt, F-ALL-07020rev.08, 12.Oct-2007 [rid Atlantic Enginaering a Environmental Solutions October 12, 2017 NCDEQIDWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS PRICE'S AUTO PARTS 1900 OLD CREWS ROAD KNIGHTDALE, NORTH CAROLINA NPDES PERMIT NO. NCGIO0027 To Whom It May Concern: 01%Zo17 GEM`TRAL FILES I)WR SECTION 409 Roge-)V,c-- Court Ra:csgh. NC 27610 office 919 250 991 a faLsIMAC 919250.9950 MAAONLINE COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on September 12, 2017 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachment: Discharge Outfall Monitoring Report Laboratory Analytical Report - — EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100027 FACILITY NAME Price's AutoParts LLC PERSON COLLECTING SAMPLE(S) Jesse Price III CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 COUNTY Wake PHONE NO. (919) 266-0171 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/502 1S 8,000 (Tiers 2 and 3) 0.03 1.0 Outfall001 09/12/2017 0.60 19.8 <5.0 <5.0 <0.005 NA Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy)instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, lost revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (5DO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is im plementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Pl an." JC55C Name (Print name) Saks 14Arj4z4*1'_ Title (Print ti Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 (I d9 n Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware ,,Uyt there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee or I I loq/1 Z (Date) Form SW U-251, last revised October 25, 2012 Page 2 of 2 a I 1 ace Analytical wwwpaceobs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Nuntersvitle, NC 28078 (704)875.9092 October 02, 2017 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Price's Auto Parts Pace Project No.: 92355453 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on September 15, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. KcRe. r �g8ea7n��� REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written Consent of Pace Analytical Services, LLC. Page 1 of 13 aceAnalytical" ..pacelabs.c= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price'sAuto Parts Pace Project No.: 92355453 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C49-06 KansaslNELAP Certification #:E-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification 4:98019 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 LouisianalNELAP Certification # LA17CO28 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2016-075 Texas Certification #: T104704355-16-10 West Virginia Certification* 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnalytical *"..pace,O&C +n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price's Auto Parts Pace Project No.: 92355453 Lab ID Sample ID 92355453001 Outfall No. 1 SAMPLE ANALYTE COUNT Method Analysts Analytes Reported Laboratory EPA 1664E JMS 1 PASI-C EPA 8015 Alcohol -Glycol BJW 1 PASI-1 EPA6010 SIi1 1 PASI-A SM 2540D SLB 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 aceAnalytical® ..pacelabs.= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Price's Auto Parts Pace Project No.: 92355453 Sample: Outfall No. 1 Lab ID: 92355453001 Collected: 09/12117 09:30 Received: 09/15/17 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. 4ual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg1L 5.0 1 09/28/17 06:04 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol ND mglL 5.0 1 09/22/17 13:47 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead ND ug1L 5.0 1 09/27/17 22:15 09/30/17 13:28 7439-92-1 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 19.8 mglL 4.2 1 09/18/17 13:19 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2017 02:57 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 ace Analytical www.pacelabs.com Pace Analytical Services, LLC 9B00 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price's Auto Parts Pace Project No.: 92355453 QC Batch: 379762 QC Batch Method: EPA 1664E Associated Lab Samples: 92355453001 METHOD BLANK: 2104618 Associated Lab Samples: 92355453001 Parameter Units Total Petroleum Hydrocarbons mg/L LABORATORY CONTROL SAMPLE: 2104619 Parameter Units Total Petroleum Hydrocarbons mg/L QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 09128/17 05:51 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 20 18.7 94 64-132 MATRIX SPIKE SAMPLE: 2104620 92356139001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L ND 20 18.8 94 64-132 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2017 02:57 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 laceAnalyfical" wompacafabs.ow Pace Analytical Services, LLC 9800 Kineey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Price's Auto Parts Pace Project No.: 92355453 QC Batch: 406930 Analysis Method: EPA 8015AIcohol-Glycol QC Batch Method: EPA 8015 Alcohol -Glycol Analysis Description: EPA 8015 Modified Associated Lab Samples: 92355453001 METHOD BLANK: 1872734 Associated Lab Samples: 92355453001 Parameter Units Ethylene glycol mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 09/22/1713:29 LABORATORY CONTROL SAMPLE: 1872735 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg/L 25 28.0 112 41-162 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1872736 1872737 MS MSD 92355453001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mg/L ND 25 25 34.8 31.0 137 122 20-172 12 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2017 02:57 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 ('�IaceAnalytical" www.pacelabs.corn QUALITY CONTROL DATA Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price'sAuto Parts Pace Project No.: 92355453 QC Batch: 379722 Analysis Method: EPA 6010 QC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92355453001 METHOD BLANK: 2104414 Matrix: Water Associated Lab Samples: 92355453001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead ug/L ND 5.0 09/3011713:21 LABORATORY CONTROL SAMPLE: 2104415 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 456 91 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2104416 2104417 MS MSD 92355452009 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Lead ug/L 6.3 500 500 444 434 88 86 75-125 2 Results presonted on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2017 02:57 PM without the written consent of Pace Analytical Services, L.L.C. Page 7 of 13 I?ceAnalytica!® www.pacerabs.mrn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Price's Auto Parts Pace Project No.: 92355453 QC Batch: 378127 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 25401) Total Suspended Solids Associated Lab Samples: 92355453001 METHOD BLANK: 2094961 Associated Lab Samples: 92355453001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE: 2094962 Parameter Units Total Suspended Solids mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 09118/1713:13 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 250 100 90-110 SAMPLE DUPLICATE: 2094963 92355040001 Dup Parameter Units Result Result Total Suspended Solids mg/L ND ND SAMPLE DUPLICATE: 2094964 92355252002 Dup Parameter Units Result Result Total Suspended Solids mg/L 188 231 RPD Qualifiers RPD Qualifiers 21 D6 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2017 02:57 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 aceAnalytical www.pacelabs.com Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersvi1e, NC 28078 (704)875-9092 QUALIFIERS Project: Price's Auto Parts Pace Project No.: 92355453 DEFINITIONS ❑F - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrotein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited anatytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-1 Pace Analytical Services - Indianapolis ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/02/2017 02:57 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytrcal www.pacerabs.com Pace Analytical Services, LLC 9800 1<InceyAve Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Price's Auto Parts Pace Project No.: 92355453 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92355453001 Outfall No. 1 EPA 1664B 379762 92355453001 Outfall No. 1 EPA 8015 Alcohol -Glycol 406930 92355453001 Outfall No. 1 EPA 3010A 379722 EPA 6010 92355453001 Outfall No. 1 SM 2540D 378127 Date: 10/02/2017 02:57 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Batch 379979 Page 10 of 13 Document Name: - Document Revised: July 25, 2017 5ample Condition Upon Recel ti5CUR} Page 1 of 2 Document No.: Issu Ing Authority; ciC$filfd�3/�1Cai� SCAR-CS-Q33jRev,pJ Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersvllle Sample Conditio Client.Name, Project a: (ter C-C Courier: [I a Ex Dos Own❑Client ❑ Commercial ace ❑0ther: Custody Seel Present? Des. Seals Intel? ❑Yes �No Raleigh Mechanicsville❑ WOi1:92355453 1111114511�IN IIIIIIIINIIII Dste/Initials Person Examining Contents: d �r3 Packing Material: ❑Bubble Wrap Bubble slags ❑None ❑ Other Biological Tissue Frozen? Thermo [ wet [:]slue ❑None ❑Yes Duo O�/A IR.Gun lD_ _� Type of Ice: Correction Factor: Cooler Temp Corrected j'C}: , ] Temp s ou a abd�e eezmg 10 67.- — ❑samples out of temp criteria. Samples on ice, tooiing process hds begun. USDA Regulated SOit ( RkN/A, water sample) Did samples o ate Ina quarantine zone within the United States: CA, NY, or 5C {check maps)? Did samples originate from a foreign source [Inc onally, ......._,._... .. - 1R1Yes No ~ inciudlre Hawall and Puerto Ricol? ilYes .. I IYIQa Comments Discre an : Utah of Custody Present? Yes No EINIA 1. Samples Arrived within bold Time? es Na ❑N/A 2. Short Hold Time Analysis <72 hr.? ❑Yes 96 I/A 3. Rush Turn Around Time Requested? Yes EfNo N/A 4, sufficient Volume? Y No N/A 5. Correct Containers Used? -Pace Containers Used? Y ❑No es No ❑NIA N/A 6. Containers intact? Yes Na N/ 7. Dtssotved analysis. Samples Field Filtered? Y r+o +/A g. Sample Labels MatchCOC? Includes Date tme/ID/Anal sis Matrix: - ZYcs ❑No tl�j- ❑N/A 9. Heads ace In VOA Vials )!S 6mm ? 0yes IA 10. Trip Blank Present? Tri Blank Custody Seals Present? ❑Yes Yes L1_]N/A N/a 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Date/Time: Field Data Required? „)Yes UNo Project Manager SCURF Review: Date: Project Manager SRF Review: '► v 1 Date: Note: Whenever there is a discrepancy atfecting North Carolina compliance samples, a copy of this form will be sent 10 the North Carollra DEHNR Certification Of m Ite. Out of hold, Incorrect preservative, out of temp, incorrect containers) Page 11 of 13 Document Name: Document Revlsed: July 25, 2017 �,h -I ce�r"�!e Sample Condition Upon Recelpt(SOUR) Page 2 of 2 Document No.: Issuing Authority: F-CAR CS-033-Rev.03 Pace Quality Office •Check mark top half of box If pH and]or-'tTechloiination is verified and within the acceptance range for preservation samples, "Bottom half of box is to list number of bottles "r° ' W0# : 92355453 PM: NMG Due Dale: 09/29/17 CLIENT: 92-MID ATLAN b -- G O 6 O z. Y 2 2 _ a °: n z a p °' n Z 4 Z = z Y m a Z z a .. S C OCRC p3 4 x n d w g OrV4 qw O ` 0 � ,M r w % r4 a 0 N T O a U S Q N S O 7 '� J d Z pi 7 R 2 c M d a, .w A Ln E c [ m 8 E E g o E E E gE QE pry d Q q Y a Y V N N Xf of r.1 10 m m M w m m m 4 C 6 Q t� 4 t� O S > tt7 O ] �i m t7 \N\ I N-N 3 \\N\ V NN\� I I -\N 4 S 6 N NI- \\I N \\\I B 9 10 N \\N 11 —�s 1Z --�STN N pH Adjustment Log for Preserved Samples Sample ID Type of Preservative pH upon receipt Date preservat(Dn adjusted Time presetvatkon adjusted Amount of Preservative added lot e Page 12 of 13 n CHAIN -OF -CUSTODY l Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed acwra7eiy. Section A Section B Section C Required Client Information: Required Project Information: Invoice Information: Pa B : S 01 7 jrtc Report To jecsc Price Allention: RC Copy Tc. Company Name: Ccn,pany Pnen's A.I. P. .rlrnese, 1500 Ofd Clcw Kn,rrl:oalm. NC p751'5 Aodress: Re ulato A 2 urr-r I dil) f- j�, IA�'D ali„s PurCh35e Order 1$ Pace Oucle: 1 (O rT i+�%ZU Pnornr [ ' {e6 011 Fa, "] 1('Lfj Plojecl Name. Price's Aum Parr. Pace Project manupef, rnccte gasiorowskippacelahs com, State 1 Location Frni:ca:ed Due pate, Project a. Pace Profile 9 5g2 1-7 NC Requested Analysis Filtered (YfN) a z Ltrrr.l1 ce"' o���h. ram•, w.,:. W1 - 3 o COLLECTED z Preservatives } SAMF w.•.�.•w.n.-vnv LE IDM .• A � r (D rG One Chars cr per box, N1a. •wP _ w O u IA•Z, Q•4 1, •) a� aN nr ot, t o O ri Y -• .j o m O Samplejum Ida he unique 1—.. �, T enO .Z U O n�i = i Q N N 2 CL = iz O niJ STSS DA1 E. 1 IME Y 2 O w A I C 1 Ov:tall No t I WT x X x % Oo 1 3� I 2 ii��r(4 E t� Qq Q1: Ii 3 rl C hi.�Ien, Gf'IC,DI a s s 7 I 8 9 10 11 12 `DATE II ADDIT+NAL II COMMENTS INOUISHED BY f ILr •r TIME ACCEPTED BY f AFFILIATION DATE TIME SAMPLE CONDITIONS ? G-�S'�•J �� I Cam' l J �.5 if C� C� ` l�� /_ J l r-' SAIAPLEB NAME AND SIGNATURE C c 0 �, PRINT Name of SA ER• c Z �i $IGNATDftL�a 0 Cl) N Cr) co d IA Mid Atlantic Enginocring & Environmental Solutions May 18, 2017 NCDEQIDWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVE JUN 0 5 2017 CENTRAL FILES DWR SECTION Subject: STORMWATER SAMPLING RESULTS PRICE'S AUTO PARTS 1900 OLD CREWS ROAD KNIGHTDALE, NORTH CAROLINA NPDES PERMIT NO. NCG100027 To Whom It May Concern: 40 RogcrsViaw Court Ralaio, NC 27610 office 9 f 9.250.9918 facsimile 919,2509950 MA-AON .INE.COM Attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on April 25, 2017 and analyzed for total suspended solids (TSS), pH, total recoverable lead, oil and grease and ethylene glycol. As indicated on the attached DMR, all parameters were reported below or within their respective benchmark values. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachment: Discharge Outfall Monitoring Report Laboratory Analytical Report EXPERIENCED CUS70ME-R FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCGIO0027 FACILITY NAME Price's Auto Parts PERSON COLLECTING SAMPLE(S) Linda Price CERTIFIED LABORATORY(S) Pace Analytical Lab #12 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Wake PHONE NO. (919) 266-0171 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/50� 15 $,000 (Tiers 2 and 3) 0.03 1.0 Outfall 001 4/25/17 2.84 26.2 < 5.0 < 5.0 <0.005 NA Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy)instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. Form SWU-251, lost revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 MailServiceCenter Raleigh, North Carolina27699-1617 Date "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ature of Permittee or Desi S A�--�q T (Date} Form SWU-251, last revised October 25, 2012 Page 2 of 2 aceAnalytical *M.pacelabs.00m Pace Analytical Services, LLC 9800 K ncey Ave. Suite 100 Huntersville, NC 2807E (704)875-9092 May 05, 2017 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Price's Auto Parts Pace Project No.: 92338889 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on May 01, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com (704)875-9092 Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 13 aceAnalyficalm ..pacefabs-=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price'sAuto Parts Pace Project No.: 92338889 Indiana Certification IDs 7726 Moller Road, Indianapolis, IN 46268 Illinois Certification #: 003971 Indiana Certification #: C-49-06 KansaslNELAP Certification ME-10177 Kentucky UST Certification #: 80226 Kentucky WW Certification #:98019 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification M E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Ohio VAP Certification #: CL-0065 Oklahoma Certification #: 2016-075 Texas Certification #: T104704355-16-10 West Virginia Certification #: 330 Wisconsin Certification #: 999788130 USDA Soil Permit #: P330-16-00257 South Carolina Certification #: 99006001 Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 Virginia/VELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in futl, without the written consent of Pace Analytical Services, LLC. Page 2 of 13 aceAnalytical wwwpamlabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 SAMPLE ANALYTE COUNT Project: Pace Project No.: Price'sAuto Parts 92338889 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92338889001 Outfall No. 1 EPA 1664B JMS 1 PASI-C EPA 8015 Alcohol -Glycol RID 1 PASI-I EPA6010 SH1 1 PASI-A SM 2540D CJH1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 13 aceAnalytical wwwpacefahs.ow Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: Price's Auto Parts Pace Project No.: 92338889 Sample: Outfall No. 1 Lab ID: 92338889001 Collected: 04/25/17 14:30 Received: 05/01/17 13:05 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons NO mglL 5.0 1 05/03/17 06:55 8015M Glycols in water Analytical Method: EPA 8015 Alcohol -Glycol Ethylene glycol NO mg/L 5.0 1 05/04/17 13:58 107-21-1 6010 MET ICP Analytical Method: EPA 6010 Preparation Method: EPA 3010A Lead NO ug1L 5.0 1 05/02/17 20:10 05/03/17 22:24 7439-92-1 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 26.2 mg1L 5.0 1 05/02/17 02:18 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/05/2017 10:13 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 aceAnalyircal www pacelabs.=n Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price'sAuto Parts Pace Project No.: 92338889 QC Batch: 358920 QC Batch Method: EPA 1664B Associated Lab Samples: 92338889001 METHOD BLANK: 1990498 Associated Lab Samples: 92338889001 Parameter Units Total Petroleum Hydrocarbons mg/L QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 05/03/17 06:41 LABORATORY CONTROL SAMPLE & LCSD: 1990499 1990500 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Total Petroleum Hydrocarbons mg/L 20 18-7 19.2 94 96 64-132 3 30 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the resulL REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/05/2017 10:13 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 13 �.accceaAnailyticale www pacetabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Price's Auto Parts Pace Project No.: 92338889 QC Batch: 385237 QC Batch Method: EPA 8015Alcohol-Glycol Associated Lab Samples: 92338889001 METHOD BLANK: 1776642 Associated Lab Samples: 92338889001 Parameter Units Ethylene glycol mg1L QUALITY CONTROL DATA Analysis Method: EPA 8015AIcohol-Glycol Analysis Description: EPA 8015 Modified Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 05/0411712:45 LABORATORY CONTROL SAMPLE: 1776643 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Ethylene glycol mg1L 25 29.6 118 41-162 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1776877 1776878 MS MSD 60243312001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Ethylene glycol mg1L ND 25 25 29.6 30.8 116 120 20-172 4 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/05/2017 10:13 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 aceAnalytical www.pacelabs.cwn Pace Analytical Services, LLC 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: Price's Auto Parts Pace Project No.: 92338889 QC Batch: 358812 Analysis Method: EPA6010 OC Batch Method: EPA 3010A Analysis Description: 6010 MET Associated Lab Samples: 92338889001 METHOD BLANK: 1989835 Matrix: Water Associated Lab Samples: 92338889001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Lead ug/L ND 5.0 05/03/17 20:53 LABORATORY CONTROL SAMPLE: 1989836 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Lead ug/L 500 481 96 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1990412 1990413 MS MSD 92338772006 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc- Conc. Result Result % Rec % Rec Limits RPD Qua[ Lead ug/L ND 500 500 476 478 95 95 75-125 1 Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORTOF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/05/2017 10:13 AM without the written consent of Pace Analytical Services, LLC. Page 7of13 m aceAnalytical wwwFacelabs,=" Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 26076 (704)B75-9092 QUALITY CONTROL DATA Project: Price'sAuto Parts Pace Project No.: 92338889 QC Batch- 358712 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92338889001 METHOD BLANK: 1989476 Associated Lab Samples: 92338889001 Parameter Units Total Suspended Solids mglL LABORATORY CONTROL SAMPLE: Parameter 1989477 Units Total Suspended Solids mglL SAMPLE DUPLICATE: 1989478 Parameter Units Total Suspended Solids mglL SAMPLE DUPLICATE: 1989479 Parameter Units Total Suspended Solids mglL Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 05/02/17 02:16 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 244 98 90-110 92338546001 Dup Result Result RPD Qualifiers 45.3 45.0 1 92338494002 Dup Result Result RPD Qualifiers 410 478 4 Results presented on this page are in the units indicated by the "Units" column except where an aitemate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/05/2017 10:13 AM without the written consent of Pace Analytical Services, LLG. Page 8 of 13 aceAnalytical www.pasefahs.wm Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALIFIERS Project: Price's Auto Parts Pace Project No.: 92338889 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-I Pace Analytical Services - Indianapolis REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/05/2017 10:13 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 aceAnalytical m w.pacefabs,c= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875.9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Price's Auto Parts Pace Project No.: 92338889 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92338889001 Outfall No. 1 EPA 1664B 358920 92338889001 Outfall No. 1 EPA 8015 Alcohol -Glycol 385237 92338889001 Outfall No. 1 EPA 3010A 358812 EPA 6010 358902 92338889001 Outfall No. 1 SM 2540D 358712 Date: 05/05/2017 10:13 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 10 of 13 Document Name: Document Revised: Sept, 21, 2016 Anal rcal a Sample Condition Upon Receipt(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ Huntersvlllg:© Raleigh[] Mechanicsville[] Client Name:AM Project €: WO# 92338889 Courier: 0-Fed Ex ❑UPS ❑USPS ❑Client 111111111111111111111111 ❑ Commercial ❑Pace ❑Other: I 92338889 Custody Seai Present? ❑Yes 2<0 Seals Intact? ❑Yes No l� Date/initials Person Examining Contents: Packing Material: ❑Bubble Wrap ❑Bubble Bags ❑None ❑Other: -hiwThermometer: JmS �_ iR Gun ID: Type of ice: et ❑Blue one []Samples on Ice, cooling process has begun Correction Factor: Cooler Temp Corrected ('C): Temp should be above fr�z to 6'C USDA Regulated Soli { [I N/A, water sample) Did samples on 'nate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Flyas Biological Tissue Frozen? [—]Yes []No ❑N/A Did samples originate from a foreign source (intern nally, indudino Hawaii and Puerto Ricol? r1Y reTNo Comments/Discrepancy- Chain of Custody Present? es []NO [--]N/A 1. Sam les Arrived within ]cold Time? [:]No ❑NIA 2. Short Hold Time Analysis 1<72 hr.)? ❑Yes Moo [I N/A 3. Rush Turn Around Time Requested? []Yes [moo ❑NIA 4. Sufficient Volume? es ❑No ❑N/A S. Correct Containers Used? -Pace Containers Used? E31e—s des ❑No ON ❑N/A ❑N/A 6. S. r • i 7 t 'i•I4 L( .fir✓ V �h. kr ,v oil Containers Intact? ❑Yes G;K-O— ❑N/A 7. Samples Field Filtered? QYes []No q/A 8. Note if sediment is visible in the dissolved container Sample Labels Match COC? -Includes Date/Time/ID/Analysis Matrix; es IKo []N/A 9. •z /( -" j� Headspace in VOA Vials (>5-6mm)? 21es ❑No ❑N/A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes ❑Yes t Wo Elmo ❑N/A LSN/A 11. CLIENT NOTIIF`I ICATIO�,N(`/RESOLUTION Field Data Required? ❑Yes (-]No Person Contacted; C. lUkUL &atl Date/Time: Comments/Sample, 1 Discrepancy: �1lL�lu�l�� ��G 70L��`_ - 1 5(nt� Q 5 ' we(-�._ rf �°C! r gA— t l' U 15 aria GO - O v`t 6 L 9 Kb 1 d {-L rAJ . Project Manager SCURF Review: _ 0 n,Lr T _ Date: ; Project Manager SRF Review: C, Date: 2 r Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp, incorrect containers) W Page 11 of 13 N 0 w u, 1 �o e S ti ra ^ N `r V x L a 0 3 ^ D Ul rD M � ar • O ei � GU a `c O � m iz CL M M rn ffl C 9 M m to v CL 0. UU a CIL � rD > � 3 c d T Q a V tD m' CL N m m c m S J o N : roto Co .i a% a w N r Item# [�'o C � n zzzz zzzz_ zzBP41.1-125 ml Plastic Unpreserved (N/A) (Cl-) .0, 'c IMU-250 mL Plastic Unpreserved (N/A) a 3 ct CL to O Cu BPZU-500 mL Plastic Unpreserved (N/A) -« CL 0. 3. MU-1 liter Plastic Unpreserved (N/A) Cr 'a S o � m x �, 3 BP3S-250 mL Plastic H2SO4 (pH < 2) (Cl-) ^ O a XAZBP3N-250 mL plastic HNO3 (pH < 2) a— n X f+ M =: BP3Z-250 mL Plastic ZN Acetate & NaOH (>9) C -O Cr MC-250 mL Plastic NaOH (pH > 12) (Cl-) f9 7 WGFU-Wide-mouthed Glass jar Unpreserved O, O AG1U-1 liter Amber Unpreserved (N/A) (Cl-) 0 M ^' o =r ZZ7XAV;7zzxx'11 AG1H-1 liter Amber HCI (pH < 2) Ln O AG3U-250 mL Amber Unpreserved (N/A) (Cl-) 3 w 0 AG1S-1 liter Amber HZSO4 (pH < 2) AG3S-250 mL Amber H2SO4 (pH < 2) ZZ1.7 AG3A(DG3A)-250 mL Amber NH4Cl (N/A)(CI-) DG9H-40 mL VOA HCI (N/A) 4 VG9T-40 mL VOA Na2S203 (N/A) VGSU-40 mL VOA Unp (N/A) r ^� DG9P-40 mL VOA H3PO4 (N/A) m VOAK (6 vials per kit)-5035 kit (N/A) O U V/GK (3 vials per kit)-VPH/Gas kit (N/A) 3 (V SP5T-125 mL Sterile Plastic (N/A — tab) O SP2T-250 mL Sterile Plastic (N/A —lab) 4 C CO e30 go BP3A-250 mL Plastic (NH2)2SO4 (9.3-9.7) ! IM CO CR Cubitainer till VSGU-20 mL Scintillation vials (N/A) C+ ►+ r 77 GN a rn / '!2ceAnalytical ` Section A Required Client thforrnation: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accuratey. Section B Section C Required Project Information: Invoice information, 0 N N Pagc: al d t company: Mid -Atlantic Associates, Inc. Report To. Chuck Hoffman (choffman@maaonline.com) A%tent,om Chuck Hoffman # Address* 409 Rogers View Court COPY To Ron Davis (rdavis@maaonline.com Company Name Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh, NC 27610 Address: 409 Rogers View Court, Raleigh. NC ; NPDES l- GROUND WATER i (DRINKING WATER "' UST I- RCRA r OTHER Etna9 To: choffman@maaontine.com Purchase Order No.: R2900.00 P.Ce Q-1. -- Reference: Phone: gf9-250-9918 Fax: 919-250-995D Proles Name. Price's Auto Parts Paee Project Nicole Gasicrowski Site Location Mar+agel. STATE: NC Requested Due DaterTAT: standard Project Number, R2900.00 Pace Piolde it _ Requested Analysis Filtered (YIN) Section D valid Matrix Codes Ea y z Required client Information OAATRIX LODE - - COLLECTED Preservatives `__ N Y N Y ORN,mGWATER DW —TEA wr n U z 0 I WASTEWATER WyV C.1 (d COr4POGITE COkVKMTE W N Z PRODUCT P SoftAOUD 5L - ¢ START ENGGRAB 7 > } SAMPLE ID WE W p W r ► cD O oUP CD (A-Z, 0-9 1.-) oTNER or W w a Z Sample IDs MUST BE UNIQUE T35SLE ss O C. `�,e,, �l 1 N � C'� M 0 X w_ w 0 m Q c 7` 2 c 1— m r ry oT P7 l�oU g a LL a O OtN c C rn a13 I Q 2 N DATE TIME DATE r•'"' TIME a 0 O u D x Z y U z m z fc z$ a] o Q t- EL I- L W 10 3 tD tY Pace Project No! Lab I.D. 1 Ouff all No, 1 WT G i:3ii 7 4 1 21 x x x x Rainfall (inches): 001 2 1,4 b 17 :36 H: I Q i l + rc— G 17 = 4 E 1 e- Gt Lot 13 17 T=30 i 5 e 6 �517 ��3 I 6 T w} G 4 ;5 ► I r I e i 9 I 10 11 J. 12 ADDITIONAL COMMENTS RESLINOUISHED BY I AFFILIATION DATE TIME ACCEPTED BY 1 AFFILIATION DATE TIME SAMPLE CONDITIONS A/ J N SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: O �`E m m-' ~ u m ¢ o o U a} E SIGNATURE of SAMpLER; DATE Signed � - IMMIDDIYY); V to I E r r I 'ImpeManf Nole fly spI :ng th,e torn: yeti.are xcepli rg Pace's NET 30 dar terms and agreeing to Life c4Trges of 1 51i per month for any mvo.ccn net Daid r hen 30 days FALL-J-020rev,OS, 12-Oc1.2007 M *0d Atlantic Engineering & Environmental Solutions May 18, 2017 Linda Price Price's Auto Parts 1900 Old Crews Road Knightdale, NC 27545-8478 Subject: STORMWATER SAMPLING RESULTS PRICE'S AUTO PARTS 1900 OLD CREWS ROAD KNIGHTDALE, NORTH CAROLINA NPDES PERMIT NO. NCG100027 Dear Ms. Price: 409 Rogc,sVicH Court RalaFgh. NC 2 76 10 office 9191509918 facsimile 919 250 9950 MAAONUNE.COM Attached please find three copies of the Stormwater Discharge Monitoring Report (DMR) for the above -referenced site. Please follow the instructions below to complete this sampling event: 1. Sign and date each DMR on page 2; 2. Fill in the pH for the sample on the first page of the DMR (if known); 3. Forward the first two copies of the report along with the attached cover letter to the -Division of Water Quality (mailing address is on the first page of the DMR); and 4. Insert the third copy (labeled "FILE") into Appendix C of your Stormwater Pollution Prevention Plan. Please note that future sampling should attempt to be conducted within 30 minutes of discharge (if possible) following a 72 hour period of dry weather. Upon collection, samples should be immediately placed on ice and shipped accordingly. If you have any questions or need additional information, please contact me at 919-250-9918. If you have any questions, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Ron Davis Stormwater Services Manager Attachments: Cover Letter Stormwater Discharge Monitoring Reports Laboratory Analytical Reports EXPERIENCED CUSTOMER FOCUSED INNOVATIVE